With funding from The California Endowment’s ten year Building Healthy Communities Initiative, the Sacramento City Unified School District collaborated with LPC Consulting Associates Inc. to produce a school ranking to identify schools with a high need for health care services and prioritize the placement of school-based health clinics. The ranking includes school-site attendance, income, chronic disease, behavioral health and safety, and sexual health indicators, as well as community-based indicators that impact student health. These combined indicators create a school-based health clinic (SBHC) need score for 72 schools. The schools were ranked from highest to lowest need based on their SBHC score. Of the 72 SCUSD schools included in this assessment, the highest need schools with a SBHC score of 46 or higher are listed below.